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Corrective Action Plans

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Finding 1169236 (2025-001)
Material Weakness 2025
Kerrville Voa Elderly Hsg, INC (kerrville Oaks)
VA
HUD Housing Programs
Management agrees with the finding. The excess funds were accrued to submit to HUD.
Management agrees with the finding. The excess funds were accrued to submit to HUD.
View Audit 382171
Finding 1169233 (2025-001)
Material Weakness 2025
Clinton Township Voa Elderly Housing, Inc. (partridge Creek)
LA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON AUGUST 13, 2025 IN THE AMOUNT OF $3,216. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON AUGUST 13, 2025 IN THE AMOUNT OF $3,216. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382159
Finding 1169232 (2025-001)
Material Weakness 2025
Coon Rapids Voa Elderly Hsg, Inc. (oxbowl Bend Apts.)
LA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON MARCH 24, 2025 IN THE AMOUNT OF $135,149. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON MARCH 24, 2025 IN THE AMOUNT OF $135,149. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382157
Finding 1169231 (2025-002)
Material Weakness 2025
Sheridan Voa Elderly Housing, INC (penrose Place)
VA
Cash Management HUD Housing Programs
Management agrees with the finding. The residual receipts account deficiency was funded on August 20, 2025 in the amount of $14,903. Management will ensure that the residual receipts account is properly funded in the future.
Management agrees with the finding. The residual receipts account deficiency was funded on August 20, 2025 in the amount of $14,903. Management will ensure that the residual receipts account is properly funded in the future.
View Audit 382154
Finding 1169228 (2025-001)
Material Weakness 2025
Prince George's County Voa Living Center I, Inc.
LA
Cash Management HUD Housing Programs
Management Agrees with the findings. The residual receipts account deficiency was funded on August 20, 2025 in the amount of $26,532. Management will ensure that the residual receipts account is properly funded in the future.
Management Agrees with the findings. The residual receipts account deficiency was funded on August 20, 2025 in the amount of $26,532. Management will ensure that the residual receipts account is properly funded in the future.
View Audit 382152
Finding 1169225 (2025-002)
Material Weakness 2025
New Hope Voa Elderly Housing, Inc. (north Park Plaza)
LA
Cash Management HUD Housing Programs
Management agrees with finding. The residual receipts account deficiency was funded on May 9, 2025 in the amount of $61,649. Management will ensure that the residual receipts account is properly funded in the future.
Management agrees with finding. The residual receipts account deficiency was funded on May 9, 2025 in the amount of $61,649. Management will ensure that the residual receipts account is properly funded in the future.
View Audit 382146
Finding 1169224 (2025-001)
Material Weakness 2025
New Hope Voa Elderly Housing, Inc. (north Park Plaza)
LA
HUD Housing Programs
Management agrees with the finding. The excess funds were accrued to offset future Section HAP requests.
Management agrees with the finding. The excess funds were accrued to offset future Section HAP requests.
View Audit 382146
Finding 1169223 (2025-002)
Material Weakness 2025
Voa Butner Morning Glory, INC
VA
HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE UNAUTHORIZED WITHDRAWAL WILL BE RETURNED TO THE REPLACEMENT RESERVE.
MANAGEMENT AGREES WITH THE FINDING. THE UNAUTHORIZED WITHDRAWAL WILL BE RETURNED TO THE REPLACEMENT RESERVE.
View Audit 382142
Finding 1169222 (2025-001)
Material Weakness 2025
Voa Butner Morning Glory, INC
VA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382142
Finding 1169221 (2025-001)
Material Weakness 2025
Salina Voa Elderly Housing, Inc. (market Place Saline Apartments)
LA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $2,239. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $2,239. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382138
Finding 1169219 (2025-001)
Material Weakness 2025
Victor Hernandez Building Elderly Hsg Inc. (victor Hernandez)
LA
Cash Management HUD Housing Programs
Management agrees with the finding. The residual receipts account deficiency was funded on Decmeber 20, 2024 in the amount of $129,509. Management will ensure that the residual receipts account is properly funded in the future.
Management agrees with the finding. The residual receipts account deficiency was funded on Decmeber 20, 2024 in the amount of $129,509. Management will ensure that the residual receipts account is properly funded in the future.
View Audit 382123
Finding 1169218 (2025-001)
Material Weakness 2025
Phoenix Voa Elderly Housing, INC (vista De La Montana)
VA
Cash Management HUD Housing Programs
Management agrees with the finding. The residual receipts account deficiency was funded on July 30, 2025 in the amount of $22,052. Management will ensure that the residual receipts account is properly funded in the future.
Management agrees with the finding. The residual receipts account deficiency was funded on July 30, 2025 in the amount of $22,052. Management will ensure that the residual receipts account is properly funded in the future.
View Audit 382122
Finding 1169217 (2025-001)
Material Weakness 2025
Montbello Voa Elderly Housing, Inc. (montbello Manor)
LA
HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL PLACE THE FUNDS BACK IN THE RESTRICTED ACCOUNT.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL PLACE THE FUNDS BACK IN THE RESTRICTED ACCOUNT.
View Audit 382119
Finding 1169215 (2025-001)
Material Weakness 2025
Delta Voa Elderly Housing, INC (heaven's View Apts)
VA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED MARCH 31, 2025 IN THE AMOUNT OF $36,461. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED MARCH 31, 2025 IN THE AMOUNT OF $36,461. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382116
Finding 1169214 (2025-001)
Material Weakness 2025
Denver Volunteers of America Living Center, Inc. (girard Place)
LA
Cash Management HUD Housing Programs
MANAGEMENT AGREEWS WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $39,000. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREEWS WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $39,000. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
View Audit 382114
Finding 1169212 (2025-001)
Material Weakness 2025
Montrose Voa Elderly Housing Iii, INC (cimarron Village)
VA
HUD Housing Programs Cash Management
Management agrees with the finding. The excess funds were accrued to submit to HUD.
Management agrees with the finding. The excess funds were accrued to submit to HUD.
View Audit 382110
Finding 1169211 (2025-001)
Material Weakness 2025
Montrose Voa Elderly Housing, INC (centennial Tower)
VA
Cash Management HUD Housing Programs
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $50,836. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNTS IS PROPERTLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WILL BE FUNDED IN THE AMOUNT OF $50,836. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNTS IS PROPERTLY FUNDED IN THE FUTURE.
View Audit 382109
Finding 1169208 (2025-002)
Material Weakness 2025
Betty Jean Kerr - People's Health Centers
MO
Internal Control / Segregation of Duties Special Tests & Provisions Subrecipient Monitoring
Section III Federal Award Findings and Questioned Costs Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care),) Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded...
Section III Federal Award Findings and Questioned Costs Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care),) Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Item 2025 002 – Special Tests Recommendation The Center should establish a system of internal controls to ensure that all slide fee discounts are properly calculated based on family size and income. Repeat Finding Yes Action Taken The Finance Department will take the following steps to enhance the slide fee discounts process: 1. Policy Revision: the health center will revise its Sliding Fee Discount Policy to ensure alignment with HRSA requirements, including accurate discount calculation methodologies, annual updates to the sliding fee scale, and proper utilization of NextGen system functionality to support implementation 2. Staff Training: the health center will provide comprehensive training to all relevant staff on the revised Sliding Fee Discount Policy and procedures. 3. Training will emphasize correct discount calculations, required documentation, and income verification processes. A recurring training program will be implemented to ensure ongoing compliance for both new hires and existing employees. 3. Retrospective Review: the health center will conduct a retrospective review of patient files for the current fiscal year to confirm that all sliding fee discounts are appropriately supported by required documentation. Any identified discrepancies will be corrected in a timely manner. 4. Ongoing Monitoring: the health center will establish monthly internal audits of sliding fee discount determinations to monitor compliance. Audit results will be documented and reviewed by management to ensure corrective actions are taken as needed. Responsible Party: Chief Financial Officer Target Completion Date: 04/30/2026 If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call: Javier Vallejo, CFO at (314)-482-0915. Sincerely yours, Javier Vallejo Chief Financial Officer
View Audit 382078
Finding 1169162 (2025-002)
Material Weakness 2025
Piazza Apartments
FL
HUD Housing Programs Eligibility Reporting
FINDING No. 2025-002: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should implement procedures to ensure that all required tenant eligibility steps are performed in accordance with HUD regulations, utilize the EIV system for income verification, inspect unit...
FINDING No. 2025-002: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should implement procedures to ensure that all required tenant eligibility steps are performed in accordance with HUD regulations, utilize the EIV system for income verification, inspect units timely, and maintain all supporting documentation in the tenant files. Action Taken: Staff training has been provided with additional HUD training inclusive of EIV reporting and tenant file maintenance and included in monthly reporting procedures. If the Oversight Agency for Audit has questions regarding this plan, please call Irene Phillips at 954-835-9200. Sincerely yours, Irene Phillips CFO
View Audit 382036
Finding 1169161 (2025-001)
Material Weakness 2025
Piazza Apartments
FL
Reporting HUD Housing Programs
Oversight Agency for Audit, Piazza Apartments respectfully submits the following corrective action plan for the year ended September 30, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit peri...
Oversight Agency for Audit, Piazza Apartments respectfully submits the following corrective action plan for the year ended September 30, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: October 1, 2024, through September 30, 2025 The findings from the September 30, 2025 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2025-001: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should comply with state law and HUD regulations for refunding security deposits timely. Action Taken: Staff training has been provided and included in monthly reporting procedures.
View Audit 382036
Finding 1169160 (2025-001)
Material Weakness 2025
Senior Citizens Housing Dev CORP of Chicago Dba Senate Apartments
FL
HUD Housing Programs Eligibility Reporting
Oversight Agency for Audit, Senior Citizens Housing Development Corporation of Chicago respectfully submits the following corrective action plan for the year ended June 30, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Cor...
Oversight Agency for Audit, Senior Citizens Housing Development Corporation of Chicago respectfully submits the following corrective action plan for the year ended June 30, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: July 1, 2024 through June 30, 2025 The finding for the June 30, 2025 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2025-001: Project Based Rental Assistance Program, ALN 14.195 Recommendation: The Project should implement procedures to ensure that proper initial eligibility procedures are conducted for potential tenants and that tenant files are accurately maintained. Action Taken: Staff training has been provided with additional HUD training inclusive of EIV reporting and tenant file maintenance and included in monthly reporting procedures. If the Oversight Agency for Audit has questions regarding this plan, please call Irene Phillips at 954- 835-9200. Sincerely yours, Irene Phillips, CFO Irene Phillips CFO
View Audit 382034
Finding 1169139 (2025-003)
Material Weakness 2025
Lighthouse Living Centers No. 2, Inc.
TX
HUD Housing Programs Significant Deficiency
Finding #2025-003 – Significant Deficiency and Other Noncompliance. Condition and context: The required monthly replacement reserves deposit amount increased from $842 to $885 during the year, but Living Centers No. 2 failed to increase the monthly deposit. Recommendation: Reemphasize current polici...
Finding #2025-003 – Significant Deficiency and Other Noncompliance. Condition and context: The required monthly replacement reserves deposit amount increased from $842 to $885 during the year, but Living Centers No. 2 failed to increase the monthly deposit. Recommendation: Reemphasize current policies and procedures to ensure that the required monthly deposit is made in accordance with HUD requirements. Planned corrective action: Following turnover that resulted in accounting challenges, we hired a CFO to develop standard operating procedures and best practices to ensure we maintain operational excellence in non-profit accounting. We implemented strategies to address opportunities in training, best practices and oversight. Responsible officer: Terry Vaughn, Vice President of Operations and Sales. Estimated completion date: November 2025.
View Audit 381962
Finding 1169138 (2025-002)
Material Weakness 2025
Lighthouse Living Centers No. 2, Inc.
TX
HUD Housing Programs Material Weakness
Findings #2025-001 and #2025-002 – Material Weakness and Other Noncompliance. Condition and context: Adjustments were required to properly state accrued interest payable and interest expense, depreciation and accumulated depreciation, maintenance expense and building equipment, tenant deposits held ...
Findings #2025-001 and #2025-002 – Material Weakness and Other Noncompliance. Condition and context: Adjustments were required to properly state accrued interest payable and interest expense, depreciation and accumulated depreciation, maintenance expense and building equipment, tenant deposits held in trust and tenant charges, salary expense and related payables, and accounts payable and related expense. These adjustments decreased the change in net assets by approximately $59,500. Additionally, an audit adjustment of approximately $24,350 was required to properly state cash and intercompany payables. Recommendation: Policies and procedures should be designed and implemented to ensure that transactions are appropriately recognized in the accounting records, supported by appropriately approved documentation and that accounts, including accruals, are timely reviewed and reconciled. Planned corrective action: Following turnover that resulted in accounting challenges, we hired a CFO to develop standard operating procedures and best practices to ensure we maintain operational excellence in non-profit accounting. We implemented strategies to address opportunities in training, best practices and oversight. Responsible officer: Terry Vaughn, Vice President of Operations and Sales. Estimated completion date: November 2025.
View Audit 381962
Finding 1169081 (2025-002)
Material Weakness 2025
Northland Pines School District
WI
School Nutrition Programs Internal Control / Segregation of Duties Cash Management
Recommendation: We recommend that the District review its internal controls and implement a procedure to ensure all reports required under the grant have a designated reviewer that is distinct from the individual responsible for preparing. Explanation of Disagreement with Audit Finding: There is no ...
Recommendation: We recommend that the District review its internal controls and implement a procedure to ensure all reports required under the grant have a designated reviewer that is distinct from the individual responsible for preparing. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Action Taken in Response to Finding: The Business Manager and School Food Service Director met regarding the finding and agreed that the Food Service Director will continue to gather the required claim data and enter the appropriate data into DPIs required Excel template monthly. All supporting documentation as well as the Excel documents will be emailed to the Business Manager monthly. The Business Manager will verify the numbers in the Excel documents using the supporting documentation. If the Business Manager agrees with the numbers in the Excel files, they will be uploaded to DPI as is. If any discrepancies are discovered, the Food Service Director and the Business Manager will work together to ensure the correct data is sent to DPI. Name of Responsible Official: Tera Fritz, Business Manager Expected Completion Date: September 1, 2025
View Audit 381821
Finding 1169069 (2025-002)
Material Weakness 2025
Chehalem Valley Housing Corporation
OR
HUD Housing Programs
Management will ensure that any distributions of project assets are approved by HUD in advance. A formal written policy has been adopted that requires all proposed distributions to be submitted to HUD for prior written approval before any disbursement. The policy clearly defines roles, responsibilit...
Management will ensure that any distributions of project assets are approved by HUD in advance. A formal written policy has been adopted that requires all proposed distributions to be submitted to HUD for prior written approval before any disbursement. The policy clearly defines roles, responsibilities, and the approval workflow. No distributions are to be processed without documented evidence of HUD’s written approval. This verification is required before processing any transaction.
View Audit 381763
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